10 NE 98 St (2)Date Z--/ Job Address
Legal Description/
��•n �s
Owner / Lessee / Tenant
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Owner's Address /4 ,V Z5. 9 - 4 ,
Contracting Co.
Qualifier SS#
State # Municipal #
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION "e /J4G e ( 1' L fa /(jt 9/455
Square Ft. 1 -(6d
'T API c S, 1 y v ct
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Signature of owner and /or Condo President gna eye r Owner- Builder
Date: Date: //
Notary as to Owner and /or Condo President
My Commission Expires:
FEES: PERMIT 415i 5'5 RADON C.C.F. k%
APPROVED: Fire
Zoning Buildin
Mechanical
/0 N e' 7'8/4r Tax Folio 1/ S A4 J 3 if S-41
Competency # Ins.Co.
NOTARY 15 TOTAL DUE
Other
Electrical
Plumbing Engineering
Master Permit #33 , 7 7 (
Phone S 3 I
Address /Q A/• her 7cf
Phone
Estimated Cost(value) 2 4/4D •6L
tar, as to
My Commission
**
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date y'- -95 Job Address A9/144 t• ' t/' Tax Polio // .5 /3 ®fjZ
Legal Description 1-07 /OW/ 7
Owner / Lessee / Tenant ) I67l e S rl `j 19 r-a
Owner's Address lb /aa• L ") "o '
Contracting Co. 0 Z(/ /ltr
Qualifier SS# - -
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * *
FEES: PERMIT
RADON C.C.F.
APPROVED: Fire
Zoning Building
AS".s'ee.
156
Address
Master Permit # 33,,22
Phone '7J /— L// 3 G
Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION 607V44.* -r a blr A h'
Square Ft. 30 41(-)C Estimated Cost(value) ' O(W d1)
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Owner- Builder
otary as to Owner- Builder
My Commission Expires:
AINSWORTH F. SMITH
NotaW Public. S'te of Florida
My comm. expires . 05, 199
No. CC184849
K Other
Electrical
Mechanical Plumbing Engineering
EX /S-777.14
14/4-s-z-
Re -40,9 4